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Published on: June 6, 2025
Outcomes of trochanteric external fixation for geriatric inter-trochanteric hip fractures
Ahmed H Yousry1, Pranit N Chotai2, Sherif A El Ghazaly1
1Department of Orthopedic Surgery, Faculty of Medicine, Ain Shams University, Cairo 11381, Egypt.
Introduction:
Trochanteric fractures are a leading cause of disability among the elderly. Internal fixation is the gold standard treatment. However, it may be challenging in the high-risk population. We present our results using external fixator in trochanteric fractures in the elderly.
Patients And Methods:
During 2005-2012, twenty-three high-risk elderly patients (average age 70 years) with trochanteric fracture were managed using percutaneous external fixation (EF).
Results:
At one year follow-up, 86% returned to pre-fracture ambulatory status. Average time to fixator removal was 14 weeks. There were no cases of pin loosening, breakage, or penetration of femoral head.
Conclusion:
Advantages of EF include avoidance of delay, use of local/regional anesthesia, and shorter duration of surgery, blood loss and hospital stay. EF is an acceptable alternative in this patient population, given the associated co-morbidities and especially due to limited resources in developing countries.
